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A case study of the counterpart technical support policy to improve rural health services in Beijing
Jian, Weiyan1; Chan, Kit Yee1,2; Tang, Shunv1; Reidpath, Daniel D.3
关键词Rural-urban Health Service Inequality Counterpart Technical Support Policy Health Service Reform Health Services Accessibility Healthcare Disparities Rural Population Urban Population National Health Programs China
刊名BMC HEALTH SERVICES RESEARCH
2012-12-29
DOI10.1186/1472-6963-12-482
12
收录类别SCI ; SSCI
文章类型Article
WOS标题词Science & Technology
类目[WOS]Health Care Sciences & Services
研究领域[WOS]Health Care Sciences & Services
关键词[WOS]CASE-MIX ; CHINA ; URBAN ; PERFORMANCE
英文摘要

Background: There is, globally, an often observed inequality in the health services available in urban and rural areas. One strategy to overcome the inequality is to require urban doctors to spend time in rural hospitals. This approach was adopted by the Beijing Municipality (population of 20.19 million) to improve rural health services, but the approach has never been systematically evaluated.

Methods: Drawing upon 1.6 million cases from 24 participating hospitals in Beijing (13 urban and 11 rural hospitals) from before and after the implementation of the policy, changes in the rural-urban hospital performance gap were examined. Hospital performance was assessed using changes in six indices over-time: Diagnosis Related Groups quantity, case-mix index (CMI), cost expenditure index (CEI), time expenditure index (TEI), and mortality rates of low- and high-risk diseases.

Results: Significant reductions in rural-urban gaps were observed in DRGs quantity and mortality rates for both high- and low-risk diseases. These results signify improvements of rural hospitals in terms of medical safety, and capacity to treat emergency cases and more diverse illnesses. No changes in the rural-urban gap in CMI were observed. Post-implementation, cost and time efficiencies worsened for the rural hospitals but improved for urban hospitals, leading to a widening rural-urban gap in hospital efficiency.

Conclusions: The strategy for reducing urban-rural gaps in health services adopted, by the Beijing Municipality shows some promise. Gains were not consistent, however, across all performance indicators, and further improvements will need to be tried and evaluated.

语种英语
WOS记录号WOS:000314637700001
引用统计
被引频次:2[WOS]   [WOS记录]     [WOS相关记录]
文献类型期刊论文
条目标识符http://ir.bjmu.edu.cn/handle/400002259/56120
专题北京大学公共卫生学院
作者单位1.Peking Univ, Hlth Sci Ctr, Dept Hlth Policy & Management, Sch Publ Hlth, Beijing 100191, Peoples R China
2.Univ Melbourne, Nossal Inst Global Hlth, Carlton, Vic 3010, Australia
3.Sch Med & Hlth Sci, Selangor 46150, DE, Malaysia
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GB/T 7714
Jian, Weiyan,Chan, Kit Yee,Tang, Shunv,et al. A case study of the counterpart technical support policy to improve rural health services in Beijing[J]. BMC HEALTH SERVICES RESEARCH,2012,12.
APA Jian, Weiyan,Chan, Kit Yee,Tang, Shunv,&Reidpath, Daniel D..(2012).A case study of the counterpart technical support policy to improve rural health services in Beijing.BMC HEALTH SERVICES RESEARCH,12.
MLA Jian, Weiyan,et al."A case study of the counterpart technical support policy to improve rural health services in Beijing".BMC HEALTH SERVICES RESEARCH 12(2012).
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